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Home My WebLink About2112 PLACIDO CT; ; CB140653; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-21-2014 Permit No: CB140653 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: PC#: 2112 PLACIDO CT CBAD PME 2164920400 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: GRASSI RES-REPLACE WTR HTR Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ. 85206 480-898-0007 /866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: GRASSI FAMILY TRUST 04-19-95 2112 PLACIDO CT CARLSBAD CA 92009 ISSUED 03/21/2014 LSM 03/21/2014 03/21/2014 $33.00 $0.00 $0.00 $62.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTI proval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You ave 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth ln Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f Tl im'I r hi r h' r i i n a z TH.E FOLlOWJNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE 0 HEALTH 0 HAZMAT/APCD Building Permit Application Plan Check No,CS/4'0(,053 . 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date.31-.,1.\ [~ lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2112 PLACIDO CT --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) Replace 50 gallon gas water heater like for like same location EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESO I AIR CONDITIONING I FIRE SPRINKLERS Nc:0 ves0No0 YESONoO APPLICANT NAME (Primary Contact) John Santos APPLICANT NAME (Secondary Contact) ADDRESS 6056 E Baseline Rd ADDRESS CITY STATE ZIP CITY STATE ZIP Mesa Az 85206 PHONE I FAX PHONE I FAX 866-692-5273 EMAIL EMAIL johns@deltamechanical.com PROPERTY OWNER NAME FINITA GRASSI CONTRACTOR BU-t,;C_\ "'tel (V\D /J ..l-..., ADDRESS ADDRESS 2112 PLACIDO CT CITY STATE ZIP CITY STATE ZIP Carlsbad Ca 92009 PHONE I 'AX PHONE I 'AX 760-942-0849 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE la' 1, 1 \ 4 I CLASS I CITY BUS. UC.# {Sec~ 7031.5 Business and P_rofessIons Code: Any City or County which requires a permit to_construct. alter, improve, demolish or repair any structure, prior to ,ts issuance, also requires the applicant for such permit to file a s1~ned statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law [Chapter 9, comme_nding with Section 7000 of DIvIs10n 3 of the Business and Professions Code} or [hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Wor11.ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perforr. . ..ince of the work for which this permit is issued [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Twin City Fire Protectiori ____ Policy No, 59WECEX6940 Expiration Date 05123114 This section need not be completed if the permit is for one hundred dollars ($100) or less, D Certlftcate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' m sa overage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damag d f · Se e Labor code, interest and attomey's fees. ,85 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to wi owner of property who builds or improves thereon, and who does such work himseW or through his own employees, provided that such improvements are not intended or offered for sale. If, however, ttie building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ ,Business and Professions Code for this reason 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number) 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major worl< (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired following persons to provide the work indicated (include name I address I phone I type of work): .Ji$ PROPERTY OWNER SIGNATURE 0AGENT DATE ! COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Wazardou:-,.Substance Account Act? D Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the pertormance of the work this perrrnt 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the infoonation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby autholize rep"'58111ative of ~e Cfy of Carlsbad to enter upon ~•-mentioned properly for inspeclon pul)JOSOS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennit is required for excavations <:Net 5'0' deep and demolition or construCOOn of structures over 3 stories in heght EXPIRATION: Every pennit issued by 1he Building Official under the provisioos of lhis Code shall expire by limitaion and become null and void if the building or work authorized by such pem,it is not commenced within 180 days from the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corrvnenced for a period of 180 days (Section 106.4.4 Uniform Building Code). A$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB140653 Type: PME Date Inspection Item 03/31/2014 25 Water HeaterNents 03/31/2014 25 Water HeaterNents 03/31/2014 29 Final Plumbing 03/31/2014 29 Final Plumbing Tuesday, April 01, 2014 Inspector PY PY GRASSI RES-REPLACE WTR HTR Act Comments RI GRASSI AP RI GRASSI RES AP Page 1 of 1